Bruce W. McCollum

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Hands-On Therapy Requires Hands-On Boundaries…

Occupational therapy often involves close physical contact — positioning, dressing assistance, guided movement — work that’s entirely appropriate but can be misread if it isn’t handled...

One Missed Step in a Med Pass Is All It Takes…

Medication administration is one of the highest-risk responsibilities in a Georgia Personal Care Home — a single skipped step in the process can mean a missed...

The Brain Keeps Rewiring Itself — Your Treatment Plan Should Work With It…

Recovery after stroke, TBI, or a neurodegenerative diagnosis isn’t a fixed ceiling — the brain’s capacity to reorganize itself, given the right intensity, repetition, and meaningful...

Not Every Challenging Moment Is a Crisis — Staff Need to Know the Difference…

Treating every difficult behavior like an emergency wears staff out and can escalate situations that didn’t need to escalate at all — while missing the signs...

Stability Isn’t Just Clinical — It’s Built Into the Daily Routine…

Residents managing anxiety, depression, PTSD, or schizophrenia don’t just need medication management — they need the structure, sensory regulation, and coping tools that help them function...

Sometimes Independence Just Needs the Right Tool for the Job…

A resident struggling with a task isn’t always a case for more hands-on assistance — often it’s a case for the right adaptive tool or a...

A Home Safety Assessment Doesn’t Have to Wait for a Home Visit…

Getting an occupational therapist into an AFC home for every ADL assessment, fall-risk scan, or adaptive equipment check isn’t always fast — or necessary. Telehealth can...

Perception Matters as Much as Intent in Personal Care…

Personal care work — bathing, dressing, toileting assistance — puts staff in close physical proximity to residents every day. Even well-intentioned, entirely appropriate care can be...

Working Alone in Someone’s Home Takes a Different Kind of Training…

Private duty home care staff don’t have a supervisor down the hall or a team nearby if something goes wrong — they’re managing medications, transfers, aggression,...